Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1978-6-12
pubmed:abstractText
More experience and time are required to determine the advantages of laser surgery in gynecology. For precision surgery through the colposcope, the carbon dioxide laser beam appears to be useful in the control of neoplastic lesions of the vaginal mucosa and possibly of the cervix uteri. Tumor volume reduction through laser vaporization, especially when a recurrent tumor is attached to the bony pelvis, is an outstanding advantage. Adhesiolysis during myomectomy and reconstructive surgery of the fallopian tubes might be facilitated by the laser beam. Laser surgery on the vulva, both colposcopically directed and grossly with the CO2 laser scalpel, might prove to be important for the treatment of various lesions. Detailed technical knowledge, rigid safety precautions, and judicious clinical considerations are essential for competent laser surgery.
pubmed:keyword
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0039-6109
pubmed:author
pubmed:issnType
Print
pubmed:volume
58
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
151-66
pubmed:dateRevised
2007-11-15
pubmed:otherAbstract
PIP: Carbon dioxide laser in gynecologic surgery utilizes 2 different operating mechanisms. One model uses the optical system of a colposcope, a specially designed operating microscope through which the laser beam is used to destroy microscopic lesions with high precision in the female genital tract. The focused laser beam is used as a thermal scalpel to perform surgical procedures. In short-term clinical follow-ups, thermal destruction by electrocautery or cryosurgery of well-delineated epithelial neoplastic lesions had been achieved with acceptable results. Destruction of entire transformation zone can be usually achieved, and depth of tissue destruction can be extended to the base of endocervical glands in a depth of about 5 mm. Advantage of thermal tissue destruction is that it can be done as an outpatient procedure, while a definite drawback is the lack of histopathologic diagnostic evaluation of the entire lesion treated; in the hands of inexperienced clinicians, this can lead to the masking of an invasive carcinoma and hence disastrous results. Another advantage is tumor volume reduction through laser vaporization, especially when a recurrent tumor is attached to the bony pelvis. Laser surgery are also applicable in adhesiolysis during myomectomy and reconstructive surgery of the fallopian tubes. Laser surgery on the vulva may be useful in the treatment of various lesions. Competent laser surgery necessitate technical knowledge; rigid safety precautions; and judicious clinical considerations.
pubmed:meshHeading
pubmed:year
1978
pubmed:articleTitle
Laser surgery in gynecology.
pubmed:publicationType
Journal Article, Case Reports